HomeMy Public PortalAbout6213 GOLDEN WEST AVE_Building__ .
76A638A CE it8031�'APPLICATION � B DING PE MIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
• BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �•
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
-FOR APPLICANT TO FILL IN NEAREST
CROSS ST
Print or tYDe only)
BUILDING DISTRICT NO 4RTYP
CONST,, %�PE2.(;,EtSED BY
ADDRESS �J ej
STATISTICAL CLASSIFICATION EWER MAP
LOT NO BLOCK l CLASS NO?�- DWELL UNITS BKL�PG77
TRACTJ f� _ ONE MAP
NO OF BLDGS NO Q
SIZE OF LOT ,S G NOW ON LOT SPECIAL
..
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OW 'NOapG BLDG SETBACK FROM - -
ADDRESS FRONTPROP LINEOF (STREET)
TYPE OF % ING SETBACK HIGHWAY + YARD. = TOTAL
HIGHWAY WID OM C L
ARCHITECT OIA EL. } _
ENGINEER NO. BLDG SETBACK FROM
ADDRESS - SIDE PROP LINE OF (STREET)
TEL. TYPE OF 1EXISTING SETBACK HIGHWAY + YARD TOTAL �-
CONTRACTORNO HIGHWAYI WIDTH FROM C.L V
LIC + _
ADDRESS NO. - O
LIC ~
CITY CLASS CORNER CUTOFF YES ❑ NO w
CONSTRUCTION LENDER cn
NAME AND BRANCH SEE VERSE SIDE FOR SP CIAL APPROVALS - z
ADDRESS
SQ FT / NO OF NO. OF NEW
SIZE
J 3{�' STORIES FAMILIES
USEOF ADD ❑ .a44 //f O �� ` 'ALX
STRI421UR LTER ❑ `^t; � � X�t�
REPAIR❑ _
SIG,_NATURIE F -
APPLIC EMOL ❑
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P,C PMT, FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENS ON INSURANCE
LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT'AND POSTED
ADDRESS K;-3 FINAL �17'�L
JOHN F LEWIS PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION CK M O• CASH _ PERMIT VALIDATION CK M O CASH
I -
y LALo 2 5 7 31== DEC 17 1 D 1 .Q 0
DEPABTNONT OF COUNTY ENGIIQEEB BUILDING
DIVISION OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER ,APPLICATION
CASSATT D. GRIFFIN, SUPT OP UMMING
F 8ffyC4tT TO&ULFOR OFFICE USE ONLY
BUILDING ISTRICT NO. PUN CK.OR REC.No. PE pMIT NO.
ADDRESS �� Iu
LOCALITY �RE,CEEIV/E,DBeY�, DATE OF A,tP,PL. DATE ISSUED
NEAREST GL'✓/GXJG L- / `t�
CROSS STA&LWBUILDING
ADDRESS
OWNEA(..,)
MAIL LOCALITY
AD SS _ NEAREST
TEL. CROSS ST.
CITY,2�7 NO,
ARCHITECT R TEL. FIRE I PL S l GROUP
ONE
ENGINEER NO. Z , PLANS
BLDG.
ADDRESS SETBACK LINE
_ TEL. USE- J APPROVED
CONTRALTO - =r ZON / BY DATE
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER NO. ASSIGNED BY
DESCRIPTION i LOT NO. ^S BLOCK
-CORRECTIONS "
TRACT
NO. OF BLDGS.
SIZE OF LOT I NOW ON LOT
USE OF NO. OF
EXISTING BLDG. F^mmuts
DESCRIPTION OF WORK D -
NEW ALTERTION IITION —_I ADDITION I ` Y
REPAIR DEMOL
r
SQ. FT. „ NO. OF
SIZE ROOMS ST IES )w
EXT. WALL � ROOF J� _
COVERING I COVERING
SE OFSTRUCTU E' A.
APPROVALS
ORFS SIGNATURE '•,DATE '
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE'THAT 1 HAVE READ T S AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION EN I9 BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING UILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.,-
PERM ITTE _
• LATH. EXT. _
ADDRESS
PLASTER, INT.
- AUTHORIZED AGT. ,
O PLASTER, EXT.
$ FEE $ HOUSE NUMBER COR-
O C RECT AND POSTED
VALUATIONS FEE S ---I' FINAL
c
7GA63SA DDS 3 8-81 ,
- 1
"7 53BA--E 4803 4/7
APPLICATIO FOR B L_ DING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP'BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALIT 1
FOR APPLICANT TO FILL IN NEARES
Pnnt ort onl CROSS ST.
DISTRICT lqO. - GROUP- PRO ESSE BY
BUILDING /
ADDRESS
STATISTICAL CLASSIFICATION SEWER MA
LOT NO �jr BLOCK CLASS NO�DWELL UNITS BKPG77
TRACT ' USE ZONE MAP"
NO.OF BLDGS. NO.
SIZE OF LOT , NOW ON LOT _Z SPECIAL
USE OFCONDITIONS
EXISTING BLDG.
TEL.
OWNER ;� i�j NO.
BLo6G,SETBACK FROM
ADDRESS q, r 0 F ONT PROP.LINE OF - (STREET)
PE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
CITY IGHWAY WIDTH FROM C.L.
ARCHITECT _TEL. + _
ENGINEER NO.
BLDG. BACK FROM
ADDRESS SIDE PROP. (STREET)
TEL.
TYPE OF EXISTING SETBA + YARD = TOTAL- C2
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. O
ADDRESS NO +
LIC. a
CITY CLASS CORNER CUTOFF YES ❑ NO Z
CONSTRUCTION LENDER '
NAME AND BRANCH SEE REVERSE SIDE FOR-SPECIAL APPROVA1 LS
_
ADDRESS
SQ FT. NO. OF -NO. OF 'NEW
SIZE / STORIES 6 FAMILIES
USE STRUCTURE ADD
CTURE p `f as`ti�/ XlZll_ ❑ - - -
ALTER ❑
REPAIR[j
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ e5r-- APPROVALS DATE INS TOR's G TURE
P.0 PMT, FOUNDATION: LOCATION
FEE $ FEE $ Q FORMS, MATERIALS (J 3 S
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE* LOCATION, -
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT; DUCTS '
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT '
LABOR CODE OF THE STATE OF C LIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION 1 RAN LATH, EXT, - - _
SIGNATURE OF �V �- HOUSE NUMBER-COR- _
PERMITTEE ° RECT AND POSTED
.ADDRESS �l r� a ? ^ �e-�
- FINAL`-
PLAN CHECK VALIDATION CK mo CASH _ PERMIT VALIDATION CK m 0 ( CASH
1 - '
J1' `3- fi.Av 2 1 D . 1 5_00-
APPLICATION-FOR BUILDING PERMIT-
PL ICANT TO FILL IN I Print or type only) ;
UILDING COUNTY OF LOS ANGELES
"ADDRESS 6213 Golden West DEPARTMENT OF COUNTY ENGINEER
CITYTemple CAY ZIP 91780, BUILDING AND SAFETY DIVISION ••
NO OF BLDGS BUILDING -� `�2-//
SIZE OFgqLOT 6 X 2 Q N W'ONLOT ne 1 4 ADDRESS O�
TRACT/4163 6-/3 BLOCK L LOCALITY
OWNERMrs• L. DiSalvo TEL NO 287-9158 NEAREST
CROSS ST
ASSESSOR•-
ADDRESS Same ,8,8 above MAP BOOK PAGE PARCEL
_
1 DISTRICT j GROUP TYPE FIRE ES--- Y
-CITY ZIP CONST ZE S
ARCHITECT OR TEL /I
ENGINEER J. H. Kuhn 'NO 446- oGo STATISTICAL CLASSIFICATION !' SEWER MA
ADDRESS 1705 S. Santa Anita Ave. Arcadi CLASS NO DWELL UNITS BK TEL 7 7PG
CONTRACTOR Dominick D. Chila NO 446-1128 USEZONE MAP NO l
ADDRESS 1133 Louise Avenue' No292548 SPECIAL -�
L CONDITIONS
CITY Arcadia CaliforniacLASS B-1 ROAD DEPARTMENT•APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF' (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ FT NO OF ] NO OF 1 CHECK HIGHWAY _ + YARD = FRONT PROP LINE HIGHWAY WIDTH
SIZE- • STORIES FAMILIES ONE }
DESCRIPTION OF WORKNEIN + O
Construct- new 2.
ADD ❑ BLDG SETBACK FROM
one family apartments - SIDE PROP LINEOF (STREET) O
ALTER -❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING Si
USE OF "' REPAIR -1:1 SIDE PROP LINE HIGHWAY WIDTH Z
EXISTING BLDG Demolish DEMOL ❑ +
APPLICANT
(PRNTIJT Lillian Di Salvo N0287-9158 CORNER CUTOFF YES C] NO
TEL ❑
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION d 0 V
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES r.
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF -
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM -
PENSAATION INSURANCE
-SIGNATURE OF
PERMITTEE' ,
ADDRESS.- 6a-'4-aol-Aen West
FINAL BY
CITY Temple City No 287-9158 DATEf
MAKE CHECKS PAYABLE TO FEPi
E - . FEET
HARVEY T.BRANDT,COUNTY ENGINEER�j
[�G;• tJ� 4 J L
PLAN CHECK VALIDATION CK •M O CASH PERMIT VALIDATION CK M0 CASH
i7 3N,9EC 14 , 3 U 1 8 5.4G B%
Os 76A638A CE#803 3 75